Individual provider Active NPI

Jasmine Ruiz, FNP-C

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1780368886
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95025242 Issued in CA
Practice address
200 S Wacker Dr FL 31
Chicago, IL 60606-5877
Phone
(866) 849-0692
NPI assigned
Jun 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1221027 TX
Family Nurse Practitioner 363LF0000X APRN-5811 HI
Family Nurse Practitioner 363LF0000X 10058453 OR
Family Nurse Practitioner 363LF0000X 95025242 CA Primary
Family Nurse Practitioner 363LF0000X 209.027468 IL

Addresses

Primary practice location

200 S Wacker Dr FL 31
Chicago, IL 60606-5877

Mailing address

263 Church Ave
Chula Vista, CA 91910-2728
Phone (619) 422-1324

Other practice location 1

263 Church Ave
Chula Vista, CA 91910-2728
Phone (619) 422-1324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241125003523 CA Practitioner - Nurse Practitioner 8426583626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rancho Family Medical Group IncGroup PAC ID 6305741240, 112 clinicians

Practice addresses (Care Compare)

263 Church Ave
Chula Vista, CA 91910-2728
Phone (619) 422-1324

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95025242CAMDFamily Nurse Practitioner
APRN-5811HIMDFamily Nurse Practitioner
209.027468ILMDFamily Nurse Practitioner
10058453ORMDFamily Nurse Practitioner
1221027TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rancho Family Medical Group, Inc. CurrentSince Aug 23, 2024 Accepting new patients
UC San Diego Health - Rancho Family Medical Group Past Accepting new patients

Locations

340 Fourth Ave
Ste 9
Chula Vista, CA 91910
Phone (619) 202-4994

263 Church Ave
Chula Vista, CA 91910
Phone (619) 422-1324

28780 Single Oak Dr
Ste 160
Temecula, CA 92590
Phone (951) 658-9461

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1780368886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 CHURCH AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102728",
            "telephone_number": "619-422-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S WACKER DR FL 31",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606065877",
            "telephone_number": "866-849-0692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "263 Church Ave",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919102728",
            "country_code": "US",
            "telephone_number": "619-422-1324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "JASMINE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1221027",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-5811",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10058453",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95025242",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.027468",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.